{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T11:12:27Z","timestamp":1788433947984,"version":"build-2803163510"},"reference-count":22,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2019,5,17]],"date-time":"2019-05-17T00:00:00Z","timestamp":1558051200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,8,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Gluteal augmentation with fat has become one of the most common cosmetic procedures worldwide. Gluteal augmentation is designed to increase the volume and contour of the gluteal region. Intramuscular lipoinjection has been linked to multiple reports of severe complications, including death due to macro fat embolism (MAFE). The authors present the first reported case of survival and successful recovery after MAFE secondary to gluteal augmentation with fat. A 41-year-old woman, ASA II, was scheduled for augmentation mammaplasty, liposuction, and gluteal augmentation with fat. The patient was operated under general anesthesia with a total intravenous anesthesia technique. A total of 3.5 liters of fat was liposuctioned with no complications. The patient was then positioned in a lateral decubitus position for gluteal augmentation with fat. Right after the last injection, the anesthesiologist noticed a sudden change in capnography followed by hypotension, bradycardia, and hypoxemia. The first reaction in the operating room was to consider that the patient was experiencing a severe episode of fat embolism. She was then resuscitated and transferred to a tertiary facility for intensive care management. To our knowledge, this is the first case report of successful resuscitation in a patient experiencing severe MAFE after gluteal augmentation with fat. We believe that this patient survived the event due to early detection, aggressive management, and proper transfer to an intensive care unit.<\/jats:p>\n               <jats:p>Level of Evidence: 5<\/jats:p>","DOI":"10.1093\/asj\/sjz151","type":"journal-article","created":{"date-parts":[[2019,5,18]],"date-time":"2019-05-18T10:31:16Z","timestamp":1558175476000},"page":"NP380-NP383","source":"Crossref","is-referenced-by-count":33,"title":["Macro Fat Embolism After Gluteal Augmentation With Fat: First Survival Case Report"],"prefix":"10.1093","volume":"39","author":[{"given":"William","family":"Pe\u00f1a","sequence":"first","affiliation":[{"name":"private practice in Bucaramanga, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L\u00e1zaro","family":"C\u00e1rdenas-Camarena","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Hospital Innovare, Zapopan, Jalisco, M\u00e9xico Dr. Jos\u00e9 \u201cGuerrerosantos,\u201d Zapopan, Jalisco, M\u00e9xico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge Enrique","family":"Bayter-Marin","sequence":"additional","affiliation":[{"name":"private practice in Bucaramanga, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauricio","family":"McCormick","sequence":"additional","affiliation":[{"name":"private practice in Bucaramanga, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3399-6302","authenticated-orcid":false,"given":"H\u00e9ctor","family":"Dur\u00e1n","sequence":"additional","affiliation":[{"name":"private practice in M\u00e9rida, Yucat\u00e1n, M\u00e9xico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillermo","family":"Ramos-Gallardo","sequence":"additional","affiliation":[{"name":"private practice in Puerto Vallarta, Jalisco, M\u00e9xico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Antonio","family":"Robles-Cervantes","sequence":"additional","affiliation":[{"name":"Division of Internal Medicine, Jalisco Institute of Reconstructive Surgery \u201cDr. Jos\u00e9 Guerrerosantos,\u201d Zapopan, Jalisco, M\u00e9xico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alvaro Andres","family":"Macias","sequence":"additional","affiliation":[{"name":"Massachusetts Eye and Ear, Brigham and Women\u2019s Hospital; and is an Assistant Professor of Anesthesia, Harvard Medical School, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,5,17]]},"reference":[{"key":"2023011216265435600_CIT0001","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1093\/asj\/sjy132","article-title":"Cosmetic Surgery National Data Bank Statistics","volume":"38","year":"2018","journal-title":"Aesthet Surg J"},{"issue":"1","key":"2023011216265435600_CIT0002","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1097\/PRS.0000000000001364","article-title":"Deaths caused by gluteal lipoinjection: what are we doing wrong?","volume":"136","author":"C\u00e1rdenas-Camarena","year":"2015","journal-title":"Plast Reconstr Surg"},{"issue":"4","key":"2023011216265435600_CIT0003","doi-asserted-by":"crossref","first-page":"880","DOI":"10.1097\/PRS.0000000000004219","article-title":"Critical differences between microscopic (MIFE) and macroscopic (MAFE) fat embolism during liposuction and gluteal lipoinjection","volume":"141","author":"C\u00e1rdenas-Camarena","year":"2018","journal-title":"Plast Reconstr Surg"},{"issue":"7","key":"2023011216265435600_CIT0004","doi-asserted-by":"crossref","first-page":"796","DOI":"10.1093\/asj\/sjx004","article-title":"Report on mortality from gluteal fat grafting: recommendations from the ASERF task force","volume":"37","author":"Mofid","year":"2017","journal-title":"Aesthet Surg J"},{"issue":"5","key":"2023011216265435600_CIT0005","doi-asserted-by":"crossref","first-page":"1198","DOI":"10.1097\/PRS.0000000000004904","article-title":"Understanding fatal fat embolism in gluteal lipoinjection: a review of the medical records and autopsy reports of 16 patients","volume":"142","author":"Bayter-Marin","year":"2018","journal-title":"Plast Reconstr Surg"},{"issue":"3","key":"2023011216265435600_CIT0006","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1016\/j.bjan.2013.11.006","article-title":"Severe fat embolism in perioperative abdominal liposuction and fat grafting","volume":"66","author":"de Lima E Souza","year":"2016","journal-title":"Rev Bras Anestesiol"},{"issue":"1","key":"2023011216265435600_CIT0007","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1097\/PRS.0000000000003934","article-title":"Staying safe during gluteal fat transplantation","volume":"141","author":"Villanueva","year":"2018","journal-title":"Plast Reconstr Surg"},{"key":"2023011216265435600_CIT0008","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/08941939.2017.1408719","article-title":"Where does the transplanted fat is located in the gluteal region?","author":"Ramos-Gallardo","year":"2017","journal-title":"J Invest Surg"},{"key":"2023011216265435600_CIT0009","volume-title":"Multi-Society Gluteal Fat Grafting Task Force issues safety advisory urging practitioners to reevaluate technique","author":"The American Society for Aesthetic Plastic Surgery"},{"issue":"7","key":"2023011216265435600_CIT0010","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1093\/asj\/sjx080","article-title":"Commentary on: Report on mortality from gluteal fat grafting: recommendations from the ASERF task force","volume":"37","author":"Wall","year":"2017","journal-title":"Aesthet Surg J"},{"issue":"3","key":"2023011216265435600_CIT0011","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1111\/j.1399-6576.1967.tb00383.x","article-title":"Aetiology and treatment of fat embolism. 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